| File Naming Convention Release Schedule | |
| naming_convention | release_schedule |
|---|---|
RVU[YY]A.zip |
Q1: January 1st |
RVU[YY]AR.zip |
Q1: January ?? |
RVU[YY]B.zip |
Q2: April 1st |
RVU[YY]C.zip |
Q3: July 1st |
RVU[YY]D.zip |
Q4: October 1st |
Overview
This is an overview of the general format of the Medicare Physician Fee Schedule (MPFS), specifically the PFS Relative Value File.
The “file” is a zip archive and typically contains six files. Updates are released on the first day of each quarter. If required, a correction notice may be issued. The following naming convention is used:
| file | contents | |
|---|---|---|
1 |
RVU[YY][VER] |
Data Dictionary, Record Layout and File Documentation |
2 |
PPRRVU[YY] |
Physician Fee Schedule RVUs and Policy Indicators |
3 |
GPCI[YYYY] |
Geographic Practice Cost Index Components for each Carrier/Locality combination |
4 |
[YY]LOCCO |
Locality to County Crosswalk |
5 |
ANES[YYYY] |
Anesthesia Conversion Factors |
6 |
OPPSCAP |
OPPS-based capitation-adjusted payment amounts. Carrier-priced codes contain the OPPS-based payment capitation only. Carrier prices cannot exceed this capitation. |
| mean | sd | p75 | p100 | |
|---|---|---|---|---|
work_rvu |
3.88 | 8.51 | 3.21 | 108.91 |
non_fac_pe_rvu |
4.01 | 10.52 | 5.35 | 355.87 |
facility_pe_rvu |
3.03 | 5.60 | 3.66 | 53.07 |
mp_rvu |
0.83 | 2.20 | 0.43 | 28.99 |
non_facility_total |
8.71 | 18.07 | 9.79 | 364.53 |
facility_total |
7.74 | 15.57 | 7.50 | 171.00 |
pre_op |
0.02 | 0.04 | 0.00 | 0.17 |
intra_op |
0.17 | 0.32 | 0.00 | 0.84 |
post_op |
0.03 | 0.07 | 0.00 | 0.23 |
conv_factor |
32.74 | 0.00 | 32.74 | 32.74 |
non_facility_pe_used_for_opps_payment_amount |
0.90 | 7.15 | 0.00 | 159.54 |
facility_pe_used_for_opps_payment_amount |
0.90 | 7.15 | 0.00 | 159.54 |
mp_used_for_opps_payment_amount |
0.01 | 0.06 | 0.00 | 1.83 |
| na | pct_cmp | min | max | unique | |
|---|---|---|---|---|---|
hcpcs |
0 |
100% | 5 |
5 |
16324 |
mod |
16323 |
12% | 2 |
2 |
3 |
description |
1 |
100% | 3 |
28 |
14376 |
status_code |
0 |
100% | 1 |
1 |
12 |
not_used_for_medicare_payment |
18366 |
1% | 1 |
1 |
1 |
non_fac_indicator |
14433 |
22% | 2 |
2 |
1 |
facility_indicator |
16031 |
13% | 2 |
2 |
1 |
pctc_ind |
0 |
100% | 1 |
1 |
10 |
glob_days |
0 |
100% | 3 |
3 |
7 |
mult_proc |
0 |
100% | 1 |
1 |
8 |
bilat_surg |
0 |
100% | 1 |
1 |
5 |
asst_surg |
0 |
100% | 1 |
1 |
4 |
co_surg |
0 |
100% | 1 |
1 |
4 |
team_surg |
0 |
100% | 1 |
1 |
4 |
endo_base |
18138 |
2% | 5 |
5 |
36 |
physician_supervision_of_diagnostic_procedures |
0 |
100% | 2 |
2 |
10 |
calculation_flag |
0 |
100% | 1 |
1 |
1 |
diagnostic_imaging_family_indicator |
0 |
100% | 2 |
2 |
2 |
| Values | N | Prop | |
|---|---|---|---|
| mod | 26 |
1096 |
50.4% |
53 |
4 |
0.2% |
|
TC |
1076 |
49.4% |
|
| status_code | A |
8975 |
48.5% |
B |
83 |
0.4% |
|
C |
1156 |
6.2% |
|
E |
1343 |
7.3% |
|
I |
1411 |
7.6% |
|
J |
276 |
1.5% |
|
M |
1201 |
6.5% |
|
N |
327 |
1.8% |
|
P |
142 |
0.8% |
|
R |
1050 |
5.7% |
|
T |
8 |
0.0% |
|
X |
2527 |
13.7% |
|
| not_used_for_medicare_payment | 133 |
100.0% |
|
| work_rvu | 0 |
10263 |
55.5% |
0.01 |
4 |
0.0% |
|
0.04 |
2 |
0.0% |
|
0.05 |
8 |
0.0% |
|
0.06 |
13 |
0.1% |
|
0.07 |
7 |
0.0% |
|
0.08 |
3 |
0.0% |
|
0.09 |
1 |
0.0% |
|
0.1 |
7 |
0.0% |
|
0.11 |
1 |
0.0% |
|
0.12 |
1 |
0.0% |
|
0.13 |
6 |
0.0% |
|
0.14 |
3 |
0.0% |
|
0.15 |
11 |
0.1% |
|
0.16 |
37 |
0.2% |
|
0.17 |
64 |
0.3% |
|
0.18 |
62 |
0.3% |
|
0.19 |
16 |
0.1% |
|
0.2 |
22 |
0.1% |
|
0.21 |
16 |
0.1% |
|
| non_fac_pe_rvu | 0 |
9294 |
50.2% |
0.01 |
1 |
0.0% |
|
0.02 |
4 |
0.0% |
|
0.03 |
5 |
0.0% |
|
0.04 |
5 |
0.0% |
|
0.05 |
7 |
0.0% |
|
0.06 |
34 |
0.2% |
|
0.07 |
41 |
0.2% |
|
0.08 |
28 |
0.2% |
|
0.09 |
28 |
0.2% |
|
0.1 |
30 |
0.2% |
|
0.11 |
27 |
0.1% |
|
0.12 |
17 |
0.1% |
|
0.13 |
22 |
0.1% |
|
0.14 |
39 |
0.2% |
|
0.15 |
22 |
0.1% |
|
0.16 |
34 |
0.2% |
|
0.17 |
22 |
0.1% |
|
0.18 |
30 |
0.2% |
|
0.19 |
21 |
0.1% |
|
| non_fac_indicator | NA |
4066 |
100.0% |
| facility_pe_rvu | 0 |
9296 |
50.3% |
0.01 |
2 |
0.0% |
|
0.02 |
12 |
0.1% |
|
0.03 |
8 |
0.0% |
|
0.04 |
8 |
0.0% |
|
0.05 |
9 |
0.0% |
|
0.06 |
41 |
0.2% |
|
0.07 |
53 |
0.3% |
|
0.08 |
40 |
0.2% |
|
0.09 |
32 |
0.2% |
|
0.1 |
33 |
0.2% |
|
0.11 |
36 |
0.2% |
|
0.12 |
26 |
0.1% |
|
0.13 |
22 |
0.1% |
|
0.14 |
47 |
0.3% |
|
0.15 |
28 |
0.2% |
|
0.16 |
40 |
0.2% |
|
0.17 |
27 |
0.1% |
|
0.18 |
35 |
0.2% |
|
0.19 |
35 |
0.2% |
|
| facility_indicator | NA |
2468 |
100.0% |
| mp_rvu | 0 |
9311 |
50.3% |
0.01 |
911 |
4.9% |
|
0.02 |
554 |
3.0% |
|
0.03 |
345 |
1.9% |
|
0.04 |
286 |
1.5% |
|
0.05 |
214 |
1.2% |
|
0.06 |
199 |
1.1% |
|
0.07 |
147 |
0.8% |
|
0.08 |
158 |
0.9% |
|
0.09 |
168 |
0.9% |
|
0.1 |
126 |
0.7% |
|
0.11 |
108 |
0.6% |
|
0.12 |
107 |
0.6% |
|
0.13 |
73 |
0.4% |
|
0.14 |
88 |
0.5% |
|
0.15 |
65 |
0.4% |
|
0.16 |
84 |
0.5% |
|
0.17 |
50 |
0.3% |
|
0.18 |
38 |
0.2% |
|
0.19 |
48 |
0.3% |
|
| non_facility_total | 0 |
9279 |
50.2% |
0.03 |
1 |
0.0% |
|
0.07 |
1 |
0.0% |
|
0.08 |
5 |
0.0% |
|
0.09 |
5 |
0.0% |
|
0.1 |
2 |
0.0% |
|
0.11 |
7 |
0.0% |
|
0.12 |
1 |
0.0% |
|
0.13 |
3 |
0.0% |
|
0.14 |
3 |
0.0% |
|
0.15 |
5 |
0.0% |
|
0.16 |
1 |
0.0% |
|
0.17 |
4 |
0.0% |
|
0.18 |
2 |
0.0% |
|
0.19 |
8 |
0.0% |
|
0.2 |
6 |
0.0% |
|
0.21 |
1 |
0.0% |
|
0.22 |
6 |
0.0% |
|
0.23 |
14 |
0.1% |
|
0.24 |
23 |
0.1% |
|
| facility_total | 0 |
9279 |
50.2% |
0.03 |
2 |
0.0% |
|
0.06 |
1 |
0.0% |
|
0.07 |
1 |
0.0% |
|
0.08 |
5 |
0.0% |
|
0.09 |
11 |
0.1% |
|
0.1 |
4 |
0.0% |
|
0.11 |
8 |
0.0% |
|
0.12 |
2 |
0.0% |
|
0.13 |
3 |
0.0% |
|
0.14 |
2 |
0.0% |
|
0.15 |
5 |
0.0% |
|
0.16 |
2 |
0.0% |
|
0.17 |
5 |
0.0% |
|
0.18 |
2 |
0.0% |
|
0.19 |
8 |
0.0% |
|
0.2 |
5 |
0.0% |
|
0.21 |
2 |
0.0% |
|
0.22 |
9 |
0.0% |
|
0.23 |
15 |
0.1% |
|
| pctc_ind | 0 |
7128 |
38.5% |
1 |
3229 |
17.5% |
|
2 |
44 |
0.2% |
|
3 |
178 |
1.0% |
|
4 |
17 |
0.1% |
|
5 |
104 |
0.6% |
|
6 |
20 |
0.1% |
|
7 |
74 |
0.4% |
|
8 |
1 |
0.0% |
|
9 |
7704 |
41.6% |
|
| glob_days | 000 |
1326 |
7.2% |
010 |
471 |
2.5% |
|
090 |
3771 |
20.4% |
|
MMM |
17 |
0.1% |
|
XXX |
11262 |
60.9% |
|
YYY |
933 |
5.0% |
|
ZZZ |
719 |
3.9% |
|
| pre_op | 0 |
14269 |
77.1% |
0.07 |
69 |
0.4% |
|
0.08 |
181 |
1.0% |
|
0.09 |
984 |
5.3% |
|
0.1 |
2483 |
13.4% |
|
0.11 |
361 |
2.0% |
|
0.12 |
133 |
0.7% |
|
0.17 |
19 |
0.1% |
|
| intra_op | 0 |
14269 |
77.1% |
0.6 |
19 |
0.1% |
|
0.69 |
1408 |
7.6% |
|
0.7 |
200 |
1.1% |
|
0.71 |
140 |
0.8% |
|
0.73 |
27 |
0.1% |
|
0.74 |
133 |
0.7% |
|
0.76 |
482 |
2.6% |
|
0.79 |
69 |
0.4% |
|
0.8 |
587 |
3.2% |
|
0.81 |
487 |
2.6% |
|
0.82 |
28 |
0.2% |
|
0.83 |
181 |
1.0% |
|
0.84 |
469 |
2.5% |
|
| post_op | 0 |
14269 |
77.1% |
0.07 |
469 |
2.5% |
|
0.09 |
209 |
1.1% |
|
0.1 |
1074 |
5.8% |
|
0.13 |
334 |
1.8% |
|
0.14 |
350 |
1.9% |
|
0.16 |
27 |
0.1% |
|
0.19 |
140 |
0.8% |
|
0.2 |
200 |
1.1% |
|
0.21 |
1408 |
7.6% |
|
0.23 |
19 |
0.1% |
|
| mult_proc | 0 |
4044 |
21.9% |
2 |
5287 |
28.6% |
|
3 |
361 |
2.0% |
|
4 |
420 |
2.3% |
|
5 |
52 |
0.3% |
|
6 |
361 |
2.0% |
|
7 |
98 |
0.5% |
|
9 |
7876 |
42.6% |
|
| bilat_surg | 0 |
7784 |
42.1% |
1 |
2203 |
11.9% |
|
2 |
383 |
2.1% |
|
3 |
237 |
1.3% |
|
9 |
7892 |
42.7% |
|
| asst_surg | 0 |
5595 |
30.2% |
1 |
2183 |
11.8% |
|
2 |
2781 |
15.0% |
|
9 |
7940 |
42.9% |
|
| co_surg | 0 |
7839 |
42.4% |
1 |
2474 |
13.4% |
|
2 |
301 |
1.6% |
|
9 |
7885 |
42.6% |
|
| team_surg | 0 |
10430 |
56.4% |
1 |
133 |
0.7% |
|
2 |
51 |
0.3% |
|
9 |
7885 |
42.6% |
|
| endo_base | 0652T |
2 |
0.6% |
29805 |
11 |
3.0% |
|
29830 |
5 |
1.4% |
|
29840 |
5 |
1.4% |
|
29860 |
6 |
1.7% |
|
29870 |
15 |
4.2% |
|
31231 |
30 |
8.3% |
|
31505 |
4 |
1.1% |
|
31525 |
8 |
2.2% |
|
31526 |
7 |
1.9% |
|
31575 |
8 |
2.2% |
|
31622 |
20 |
5.5% |
|
43191 |
5 |
1.4% |
|
43197 |
1 |
0.3% |
|
43200 |
18 |
5.0% |
|
43235 |
30 |
8.3% |
|
43260 |
10 |
2.8% |
|
44360 |
9 |
2.5% |
|
44376 |
3 |
0.8% |
|
44380 |
3 |
0.8% |
|
| conv_factor | 32.7442 |
18499 |
100.0% |
| physician_supervision_of_diagnostic_procedures | 01 |
533 |
2.9% |
02 |
249 |
1.3% |
|
03 |
207 |
1.1% |
|
04 |
16 |
0.1% |
|
05 |
1 |
0.0% |
|
09 |
17465 |
94.4% |
|
21 |
5 |
0.0% |
|
66 |
1 |
0.0% |
|
6A |
13 |
0.1% |
|
7A |
9 |
0.0% |
|
| calculation_flag | 0 |
18499 |
100.0% |
| diagnostic_imaging_family_indicator | 88 |
444 |
2.4% |
99 |
18055 |
97.6% |
|
| non_facility_pe_used_for_opps_payment_amount | 0 |
17463 |
94.4% |
0.79 |
1 |
0.0% |
|
0.87 |
1 |
0.0% |
|
1.14 |
1 |
0.0% |
|
1.15 |
1 |
0.0% |
|
1.18 |
1 |
0.0% |
|
1.3 |
1 |
0.0% |
|
1.74 |
3 |
0.0% |
|
1.75 |
1 |
0.0% |
|
1.77 |
1 |
0.0% |
|
1.91 |
1 |
0.0% |
|
1.96 |
1 |
0.0% |
|
2.01 |
1 |
0.0% |
|
2.31 |
1 |
0.0% |
|
2.53 |
1 |
0.0% |
|
2.54 |
2 |
0.0% |
|
2.57 |
1 |
0.0% |
|
2.58 |
1 |
0.0% |
|
2.59 |
2 |
0.0% |
|
2.6 |
9 |
0.0% |
|
| facility_pe_used_for_opps_payment_amount | 0 |
17463 |
94.4% |
0.79 |
1 |
0.0% |
|
0.87 |
1 |
0.0% |
|
1.14 |
1 |
0.0% |
|
1.15 |
1 |
0.0% |
|
1.18 |
1 |
0.0% |
|
1.3 |
1 |
0.0% |
|
1.74 |
3 |
0.0% |
|
1.75 |
1 |
0.0% |
|
1.77 |
1 |
0.0% |
|
1.91 |
1 |
0.0% |
|
1.96 |
1 |
0.0% |
|
2.01 |
1 |
0.0% |
|
2.31 |
1 |
0.0% |
|
2.53 |
1 |
0.0% |
|
2.54 |
2 |
0.0% |
|
2.57 |
1 |
0.0% |
|
2.58 |
1 |
0.0% |
|
2.59 |
2 |
0.0% |
|
2.6 |
9 |
0.0% |
|
| mp_used_for_opps_payment_amount | 0 |
17463 |
94.4% |
0.01 |
77 |
0.4% |
|
0.02 |
71 |
0.4% |
|
0.03 |
107 |
0.6% |
|
0.04 |
131 |
0.7% |
|
0.05 |
108 |
0.6% |
|
0.06 |
59 |
0.3% |
|
0.07 |
41 |
0.2% |
|
0.08 |
36 |
0.2% |
|
0.09 |
37 |
0.2% |
|
0.1 |
41 |
0.2% |
|
0.11 |
33 |
0.2% |
|
0.12 |
48 |
0.3% |
|
0.13 |
26 |
0.1% |
|
0.14 |
38 |
0.2% |
|
0.15 |
27 |
0.1% |
|
0.16 |
17 |
0.1% |
|
0.17 |
14 |
0.1% |
|
0.18 |
6 |
0.0% |
|
0.19 |
4 |
0.0% |
The MPFS is a listing of the relative value units (RVUs) for each CPT code, as well as the geographic practice cost index (GPCI) for each code. The RVUs are used to calculate the payment amount for each service, while the GPCI is used to adjust the payment amount based on the location where the service is provided.
This file contains information on services covered by the MPFS in 2024. For more than 10,000 physician services, the file contains the associated RVUs, a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.).
The MPFS amounts are adjusted to reflect the variation in practice costs from area to area. A GPCI has been established for every Medicare payment locality for each of the three components of a procedure’s RVU:
- Physician Work
- Practice Expense
- Malpractice Expense (sometimes called Professional Liability Insurance)
The GPCIs are applied in the calculation of a fee schedule payment amount by multiplying the RVU for each component times the GPCI for that component.
NATIONAL PHYSICIAN FEE SCHEDULE RELATIVE VALUE FILE CALENDAR YEAR 2024
Participating
\[ x = [(RVU_w \times GPCI_w) + (RVU_p \times GPCI_p) + (RVU_m \times GPCI_m)] \times CF \]
Non-Participating
\[ y = 0.95x \]
Limiting Charge
\[ z = 0.95(1.15x) \]
Certain therapy codes will receive a 50% reduction to the Practice Expense.
Section 5102(b) of the Deficit Reduction Act of 2005 requires a payment cap on the Technical Component (TC) of certain diagnostic imaging procedures and the TC portions of the global diagnostic imaging services.
This cap is based on the Outpatient Prospective Payment System (OPPS) payment. To implement this provision, the Physician Fee Schedule amount is compared to the OPPS payment amount and the lower amount is used in the formula to calculate payment.
Accepting Assignment
Accepting assignment means that a healthcare provider or facility is partnered with Medicare and is required by law to charge only the Medicare-approved amount for various services. This amount is preset by Medicare and is often less than many healthcare facilities would charge.
Because of this, when patients receive care at a facility that accepts assignment, they will be required to pay lower out-of-pocket costs as Medicare will cover the full amount of the service cost. Personal costs only include the premium and any charges up to the deductible amount.
Physicians or facilities that do not accept assignment are a non-participating providers. All physicians are required to file with Medicare, indicating that they either accept or do not accept assignment. If a provider does not accept assignment, it means that they are not required to charge only the Medicare-approved amount for services.
Limiting Charge
One possible option for non-participating providers is to choose to accept assignment for some services but to decline assignment for others. For services that they accept assignment for, they are only able to bill the Medicare-approved amount. However, for other services, they are allowed to charge up to 15 percent more than the Medicare-approved amount.
This limit cap is known as the limiting charge. Providers that do not fully participate only receive 95 percent of the Medicare-approved amount when Medicare reimburses them for the cost of care. In turn, the provider can charge the patient up to 15 percent more than this reimbursement amount. This extra charge will not be covered by Medicare, which causes Medicare recipients to incur greater out-of-pocket costs.
The Medicare limiting charge is the maximum amount a Non-Participating Provider can charge for services submitted on a non-assigned claim. This is that maximum amount a beneficiary could legally be charged.
Calculation
The Medicare limiting charge is, by law, set at \(115\%\) of the payment amount for the service furnished by the Non-Participating Physician.
However, the law sets the payment amount for Non-Participating Physicians at \(95\%\) of the payment amount for Participating Physicians (i.e., the Fee Schedule amount).
Calculating \(95\%\) of \(115\%\) of an amount, \(x\), is equivalent to \(x \times 1.0925\) (or \(109.25\%\)):
# 95% of 115% of 10
(10 * 1.15) * 0.95 [1] 10.925
# 109.25% of 10
10 * 1.0925 [1] 10.925
# using the northstar package
limiting_charge(10)[1] 10.925
Relative Value File
This file contains information on services covered by the Medicare Physician Fee Schedule (MPFS). For more than 10,000 physician services, the file contains the associated relative value units (RVUs), a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.).
The Medicare physician fee schedule amounts are adjusted to reflect the variation in practice costs from area to area. A geographic practice cost index (GPCI) has been established for every Medicare payment locality for each of the three components of a procedure’s relative value unit (i.e., the RVUs for work, practice expense, and malpractice). The GPCIs are applied in the calculation of a fee schedule payment amount by multiplying the RVU for each component times the GPCI for that component.
Modifiers
Status Codes
Indicates whether the code is in the fee schedule and whether it is separately payable if the service is covered. See Attachment A for description of values.
Only RVUs associated with status codes of A, R, or T, are used for Medicare payment.
PC/TC Indicator
Global Surgery Days
Provides time frames that apply to each surgical procedure.
Operative Percentages
Indicators
Procedures Rarely/Never Performed
An NA in this field indicates that this procedure is rarely or never performed in the Facility setting:
An NA in this field indicates that this procedure is rarely or never performed in the Non-Facility setting:
Multiple Procedures
Indicates applicable payment adjustment rule for multiple procedures (modifier 51).
Payment Amount File
# northstar::search_payment()This file contains locality-specific physician fee schedule payment amounts for services covered by the Medicare Physician Fee Schedule (MPFS) with one record for each unique combination of carrier, locality, procedure code and modifier.
|
Carrier Number |
Medicare Administrative Contractor ID |
|---|---|---|
|
Locality |
Pricing Locality ID |
|
HCPCS Code |
HCPCS Code |
|
Modifier |
Diagnostic Tests, |
|
Status Code |
Indicates if in Fee Schedule, if Covered, if Separately Payable. Only |
|
Multiple Surgery Indicator |
Indicates Applicable Payment Adjustment Rule: Mod |
|
Flat Rate Visit Fee |
Contains Flat Visit Fee for Primary Care First Model |
|
Non-Facility Therapy Reduction |
Fee reflects 50% PE payment for Non-facility services |
|
Facility Therapy Reduction |
Fee reflects 50% PE payment for Facility services |
|
Non-Facility Fee Schedule Amount |
Non-Facility Pricing Amount |
|
Facility Fee Schedule Amount |
Facility Pricing Amount |
|
OPPS Indicator |
OPPS Payment Cap Determination: |
|
OPPS Non-Facility |
OPPS Capped Non-Facility Pricing Amount |
|
OPPS Facility |
OPPS Capped Facility Pricing Amount |
GPCIs
2024 Geographic Practice Cost Indices // by State & Medicare Locality |
|||||
| MAC1 | Locality | Work | Practice | Malpractice | |
|---|---|---|---|---|---|
| AL | 10112 | 00 ALABAMA2 | 1 | 0.869 | 0.575 |
| AK | 02102 | 01 ALASKA | 1.5 | 1.081 | 0.592 |
| AZ | 03102 | 00 ARIZONA | 1 | 0.975 | 0.854 |
| AR | 07102 | 13 ARKANSAS | 1 | 0.86 | 0.518 |
| CA | 01112 | 54 BAKERSFIELD | 1.017 | 1.093 | 0.662 |
| 01112 | 55 CHICO | 1.014 | 1.093 | 0.56 | |
| 01182 | 71 EL CENTRO | 1.014 | 1.093 | 0.57 | |
| 01112 | 56 FRESNO | 1.014 | 1.093 | 0.56 | |
| 01112 | 57 HANFORD-CORCORAN | 1.014 | 1.093 | 0.56 | |
| 01182 | 18 LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | 1.042 | 1.194 | 0.69 | |
| 01112 | 58 MADERA | 1.014 | 1.093 | 0.56 | |
| 01112 | 59 MERCED | 1.014 | 1.093 | 0.56 | |
| 01112 | 60 MODESTO | 1.014 | 1.093 | 0.56 | |
| 01112 | 51 NAPA | 1.058 | 1.31 | 0.521 | |
| 01182 | 17 OXNARD-THOUSAND OAKS-VENTURA | 1.026 | 1.183 | 0.651 | |
| 01112 | 61 REDDING | 1.014 | 1.093 | 0.56 | |
| 01112 | 62 RIVERSIDE-SAN BERNARDINO-ONTARIO | 1.014 | 1.093 | 0.892 | |
| 01112 | 63 SACRAMENTO-ROSEVILLE-FOLSOM | 1.034 | 1.156 | 0.56 | |
| 01112 | 64 SALINAS | 1.035 | 1.165 | 0.56 | |
| 01182 | 72 SAN DIEGO-CHULA VISTA-CARLSBAD | 1.028 | 1.191 | 0.572 | |
| 01112 | 05 SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) | 1.088 | 1.419 | 0.445 | |
| 01112 | 52 SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | 1.088 | 1.419 | 0.47 | |
| 01112 | 65 SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) | 1.1 | 1.435 | 0.56 | |
| 01182 | 73 SAN LUIS OBISPO-PASO ROBLES | 1.014 | 1.132 | 0.56 | |
| 01112 | 09 SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) | 1.1 | 1.435 | 0.42 | |
| 01112 | 66 SANTA CRUZ-WATSONVILLE | 1.017 | 1.209 | 0.56 | |
| 01182 | 74 SANTA MARIA-SANTA BARBARA | 1.022 | 1.175 | 0.56 | |
| 01112 | 67 SANTA ROSA-PETALUMA | 1.027 | 1.232 | 0.56 | |
| 01112 | 68 STOCKTON | 1.014 | 1.093 | 0.56 | |
| 01112 | 53 VALLEJO | 1.058 | 1.31 | 0.47 | |
| 01112 | 69 VISALIA | 1.014 | 1.093 | 0.56 | |
| 01112 | 70 YUBA CITY | 1.014 | 1.093 | 0.56 | |
| 01112 | 75 REST OF CALIFORNIA | 1.014 | 1.093 | 0.56 | |
| CO | 04112 | 01 COLORADO | 1.008 | 1.053 | 0.827 |
| CT | 13102 | 00 CONNECTICUT | 1.022 | 1.091 | 1.207 |
| DC | 12202 | 01 DC + MD/VA SUBURBS | 1.057 | 1.192 | 1.168 |
| DE | 12102 | 01 DELAWARE | 1.009 | 0.992 | 0.949 |
| FL | 09102 | 03 FORT LAUDERDALE | 1 | 0.998 | 1.77 |
| 09102 | 04 MIAMI | 1 | 1.027 | 2.5 | |
| 09102 | 99 REST OF FLORIDA | 1 | 0.94 | 1.467 | |
| GA | 10212 | 01 ATLANTA | 1 | 0.997 | 1.128 |
| 10212 | 99 REST OF GEORGIA | 1 | 0.883 | 1.125 | |
| HI | 01212 | 01 HAWAII, GUAM | 1 | 1.149 | 0.561 |
| ID | 02202 | 00 IDAHO | 1 | 0.908 | 0.461 |
| IL | 06102 | 16 CHICAGO | 1.007 | 1.023 | 2.018 |
| 06102 | 12 EAST ST. LOUIS | 1 | 0.918 | 1.784 | |
| 06102 | 15 SUBURBAN CHICAGO | 1.007 | 1.048 | 1.556 | |
| 06102 | 99 REST OF ILLINOIS | 1 | 0.912 | 1.381 | |
| IN | 08102 | 00 INDIANA | 1 | 0.922 | 0.485 |
| IA | 05102 | 00 IOWA | 1 | 0.913 | 0.457 |
| KS | 05202 | 00 KANSAS | 1 | 0.906 | 0.54 |
| KY | 15102 | 00 KENTUCKY | 1 | 0.877 | 0.913 |
| LA | 07202 | 01 NEW ORLEANS | 1 | 0.935 | 1.156 |
| 07202 | 99 REST OF LOUISIANA | 1 | 0.881 | 0.982 | |
| ME | 14112 | 03 SOUTHERN MAINE | 1 | 1.012 | 0.656 |
| 14112 | 99 REST OF MAINE | 1 | 0.913 | 0.65 | |
| MD | 12302 | 01 BALTIMORE/SURR. CNTYS | 1.02 | 1.078 | 1.309 |
| 12302 | 99 REST OF MARYLAND | 1.012 | 1.016 | 0.973 | |
| MA | 14212 | 01 METROPOLITAN BOSTON | 1.042 | 1.197 | 0.894 |
| 14212 | 99 REST OF MASSACHUSETTS | 1.017 | 1.061 | 0.796 | |
| MI | 08202 | 01 DETROIT | 1.003 | 0.986 | 1.718 |
| 08202 | 99 REST OF MICHIGAN | 1 | 0.911 | 1.173 | |
| MN | 06202 | 00 MINNESOTA | 1 | 1.025 | 0.3 |
| MS | 07302 | 00 MISSISSIPPI | 1 | 0.852 | 0.768 |
| MO | 05302 | 02 METROPOLITAN KANSAS CITY | 1 | 0.948 | 0.992 |
| 05302 | 01 METROPOLITAN ST. LOUIS | 1 | 0.952 | 0.994 | |
| 05302 | 99 REST OF MISSOURI | 1 | 0.859 | 0.974 | |
| MT | 03202 | 01 MONTANA3 | 1 | 1 | 0.978 |
| NE | 05402 | 00 NEBRASKA | 1 | 0.917 | 0.304 |
| NV | 01312 | 00 NEVADA3 | 1 | 1 | 0.844 |
| NH | 14312 | 40 NEW HAMPSHIRE | 1 | 1.034 | 0.898 |
| NJ | 12402 | 01 NORTHERN NJ | 1.064 | 1.172 | 1.032 |
| 12402 | 99 REST OF NEW JERSEY | 1.042 | 1.106 | 1.069 | |
| NM | 04212 | 05 NEW MEXICO | 1 | 0.908 | 1.172 |
| NY | 13202 | 01 MANHATTAN | 1.065 | 1.166 | 1.656 |
| 13202 | 02 NYC SUBURBS/LONG ISLAND | 1.065 | 1.2 | 1.911 | |
| 13202 | 03 POUGHKPSIE/N NYC SUBURBS | 1.046 | 1.106 | 1.269 | |
| 13292 | 04 QUEENS | 1.065 | 1.195 | 1.462 | |
| 13282 | 99 REST OF NEW YORK | 1 | 0.949 | 0.732 | |
| NC | 11502 | 00 NORTH CAROLINA | 1 | 0.926 | 0.665 |
| ND | 03302 | 01 NORTH DAKOTA3 | 1 | 1 | 0.517 |
| OH | 15202 | 00 OHIO | 1 | 0.911 | 1.033 |
| OK | 04312 | 00 OKLAHOMA | 1 | 0.891 | 0.813 |
| OR | 02302 | 01 PORTLAND | 1.013 | 1.103 | 0.688 |
| 02302 | 99 REST OF OREGON | 1 | 0.986 | 0.643 | |
| PA | 12502 | 01 METROPOLITAN PHILADELPHIA | 1.024 | 1.053 | 1.177 |
| 12502 | 99 REST OF PENNSYLVANIA | 1 | 0.927 | 0.925 | |
| PR | 09202 | 20 PUERTO RICO | 1 | 1.007 | 0.982 |
| RI | 14412 | 01 RHODE ISLAND | 1.025 | 1.039 | 0.849 |
| SC | 11202 | 01 SOUTH CAROLINA | 1 | 0.913 | 0.817 |
| SD | 03402 | 02 SOUTH DAKOTA3 | 1 | 1 | 0.382 |
| TN | 10312 | 35 TENNESSEE | 1 | 0.896 | 0.544 |
| TX | 04412 | 31 AUSTIN | 1 | 1.046 | 0.914 |
| 04412 | 20 BEAUMONT | 1 | 0.903 | 0.947 | |
| 04412 | 09 BRAZORIA | 1.014 | 1.006 | 0.795 | |
| 04412 | 11 DALLAS | 1.011 | 1.007 | 0.877 | |
| 04412 | 28 FORT WORTH | 1.011 | 0.998 | 0.902 | |
| 04412 | 15 GALVESTON | 1.014 | 1 | 0.855 | |
| 04412 | 18 HOUSTON | 1.014 | 1.003 | 1.409 | |
| 04412 | 99 REST OF TEXAS | 1 | 0.945 | 0.934 | |
| UT | 03502 | 09 UTAH | 1 | 0.933 | 0.93 |
| VT | 14512 | 50 VERMONT | 1 | 0.993 | 0.518 |
| VA | 11302 | 00 VIRGINIA | 1.002 | 0.984 | 0.755 |
| VI | 09202 | 50 VIRGIN ISLANDS | 1 | 1.007 | 0.982 |
| WA | 02402 | 02 SEATTLE (KING CNTY) | 1.043 | 1.22 | 0.853 |
| 02402 | 99 REST OF WASHINGTON | 1.007 | 1.04 | 0.803 | |
| WV | 11402 | 16 WEST VIRGINIA | 1 | 0.862 | 1.333 |
| WI | 06302 | 00 WISCONSIN | 1 | 0.957 | 0.331 |
| WY | 03602 | 21 WYOMING3 | 1 | 1 | 0.739 |
| Note: The Further Continuing Appropriations and Other Extensions Act, 2024 (Section 501) extended the 1.0 Work GPCI floor through January 19, 2024. Therefore, the Work GPCIs for 2023 reflect the 1.0 Work GPCI floor. Work GPCIs for 2024 are shown both with and without a 1.0 floor and Work GPCIs for 2025 do not reflect a 1.0 floor. |
|||||
| 1 MAC assignments as of November 22, 2023 | |||||
|
2 Work GPCI reflects a 1.5 floor in Alaska established by MIPPA. |
|||||
| 3 PE GPCI reflects a 1.0 floor for Frontier States established by the ACA. | |||||